Telephonic RN Nurse Case Manager II - AmeriBen

Elevance Health; Indiana (PA); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical, dental, and vision benefits

Short and long-term disabilitybenefits

401(k) + match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Job summary

Elevance Health in Indianapolis, IN is seeking a Telephonic RN Nurse Case Manager II to perform care management for members with complex and chronic care needs. You will assess, develop, implement, coordinate, monitor, and evaluate care plans in a flexible work environment.

The role requires a BA/BS in a health-related field and a current, unrestricted RN license with multi-state licensure as needed; five years of clinical experience is preferred.

Qualifications

• BA/BS in a health-related field required.
• Minimum of 5 years of clinical experience required.
• Current, unrestricted RN license in applicable state(s) required; multi-state licensure required if providing services in multiple states.

Responsibilities

• Ensure member access to services appropriate to their health needs.
• Conduct assessments to identify individual needs and develop care management plans.
• Implement care plans by facilitating authorizations/referrals as appropriate.
• Coordinate internal and external resources to meet identified needs.
• Monitor and evaluate the effectiveness of care management plans and modify as necessary.
• Interface with Medical Directors and Physician Advisors on care management treatment plans.
• Assist in problem-solving with providers.
• Assist with the development of utilization/care management policies and procedures.

Skills

Care management

Assessments

Care coordination

Authorizations/referrals

Education

BA/BS in a health-related field

RN license

Job description

About This Role

The Telephonic RN Nurse Case Manager II is responsible for performing care management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. This role is ideal for experienced nurses seeking a flexible work environment.

Highlights

• Location: Indianapolis, IN


• Schedule: Full-time, Monday thru Friday, 8 am to 5 pm

What You'll Do

• Ensure member access to services appropriate to their health needs.


• Conduct assessments to identify individual needs and develop care management plans.


• Implement care plans by facilitating authorizations/referrals as appropriate.


• Coordinate internal and external resources to meet identified needs.


• Monitor and evaluate the effectiveness of care management plans and modify as necessary.


• Interface with Medical Directors and Physician Advisors on care management treatment plans.


• Assist in problem-solving with providers.


• Assist with the development of utilization/care management policies and procedures.

Requirements

• Education: BA/BS in a health-related field required


• Experience: Minimum of 5 years of clinical experience required


• Licenses & Certifications: Current, unrestricted RN license in applicable state(s) required; Multi-state licensure required if providing services in multiple states

Benefits

• Merit increases


• Paid holidays


• Paid Time Off


• Incentive bonus programs


• Medical, dental, and vision benefits


• Short and long-term disability benefits


• 401(k) + match


• Stock purchase plan


• Life insurance


• Wellness programs


• Financial education resources

About Elevance Health

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels who are passionate about making an impact on their members and the communities they serve.